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Notice of Appeal or Motion USCIS

Form I-290B
Department of Homeland Security OMB No. 1615-0095
U.S. Citizenship and Immigration Services Expires 01/31/2017

Returned Reloc Sent Receipt Remarks

For Date / / / Date / / /


USCIS Date / / / Date / / /
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Date / / / Date / / /

Date / / / Date / / /

Please see the USCIS Web site at www.uscis.gov/I-290B to view appeal and/or motion eligibility by form type.

► START HERE - Type or print in black ink.

Part 1. Information About Petitioner/Applicant Part 1. Information About Petitioner/Applicant


1.a. Family Name Contact Information
(Last Name) TELINTELO
7. Daytime Telephone Number (Area or Country Code) Extension
1.b. Given Name
LEO FRANK JR
(First Name) ( ) -
1.c. Middle Name LLORENTE 8. Mobile Telephone Number (if any)
2. Complete Name of Business/Organization (if applicable) ( 910 ) 620 - 82 6 7

9. E-mail Address (if any)


3. Alien Registration Number (A-Number, if applicable) kikoleo_24@yahoo.com
► A- 2 0 7 0 7 2 8 0 3 10. Fax Number (if any)
4. Receipt Number ( ) -
N B C 1 4 9 0 0 1 3 5 3 4
Part 2. Information About Person/Organization
5. USCIS ELIS Account Number (if any)
Filing Appeal or Motion on Behalf of
Petitioner/Applicant
(Attorney or Board of Immigration Appeals (BIA) Accredited
Mailing Address (or Military APO/FPO Address, if Representative filing appeal or motion on behalf of the
applicable) petitioner/applicant)

6.a. In Care Of Name If you are the petitioner or applicant filing an appeal or motion
without an attorney or representative accredited by the BIA,
skip this part, and proceed to Part 3.
6.b. Street Number
and Name 1. I am an attorney or representative accredited by the BIA.
(If you check this box, you must attach a new Form
6.c. Apt. Ste. Flr. G-28, Notice of Entry of Appearance as Attorney or
Representative, signed by the attorney or representative
named on Form G-28.)
6.d. City or Town
2.a. Family Name
(Last Name)
6.e. State 6.f. ZIP Code
2.b. Given Name
(First Name)
6.g. Postal Code
2.c. Middle Name
6.h. Province BENGUET
3. Complete Name of Business/Organization (if applicable)
6.i. Country

Form I-290B 01/23/14 N Page 1 of 2


Part 2. Information About Person/Organization Part 3. Information About the Appeal or
Filing Appeal or Motion on Behalf of Motion
Petitioner/Applicant
4. Specific Classification Requested (e.g., H-1B, R-1, O-1,
EB-1, EB-2, EB-3, etc., if applicable)
4. Daytime Telephone Number Extension
( ) - 5. Date of Adverse Decision
5. Mobile Telephone Number (if any) (mm/dd/yyyy) ► 05/11/2015
( ) - 6. USCIS Office Where Last Decision Issued
6. E-mail Address (if any) Cincinnati (CIN)

7. Fax Number (if any) Part 4. Basis for the Appeal or Motion
( ) - On a separate sheet of paper, you must provide a statement
regarding the basis for the appeal or motion. You must include
your name and A-Number or USCIS ELIS Account Number on
Part 3. Information About the Appeal or Motion the top of each sheet.
You must check only one box indicating that you are filing an Appeal: Provide a statement that specifically identifies an
appeal or a motion, not both. If more than one box is selected, erroneous conclusion of law or fact in the decision being
your filing will be rejected. appealed.
(DO NOT use this form if you are filing an appeal of a Motion to Reopen: The motion must state new facts and must
denial or a revocation of an approved Form I-130 (Petition be supported by affidavits and/or documentary evidence that
for Alien Relative), or a Petition for Widow(er) filed on a establish eligibility at the time the underlying petition or
Form I-360. Those appeals must be filed with the Board of application was filed.
Immigration Appeals (BIA) using Form EOIR-29.
Motion to Reconsider: The motion must be supported by
1. Appeal citations to appropriate statutes, regulations, or precedent
decisions and must establish that the decision was based on an
a. I am filing an appeal to the Administrative Appeals
incorrect application of law or policy, and that the decision was
Office (AAO). My brief and/or additional evidence is
incorrect based on the evidence of record at the time of
attached.
decision.
b. I am filing an appeal to the AAO. My brief and/or
additional evidence will be submitted to the AAO
within 30 calendar days of filing the appeal. Part 5. Signature of Person Filing the Appeal/
c. I am filing an appeal to the AAO. No supplemental Motion or His or Her Authorized
brief and/or additional evidence will be submitted. Representative
By signing below, I certify under penalty of perjury under the
2. Motion
laws of the United States of America that the information
d. I am filing a motion to reopen a decision. My brief provided on this form, and the documents submitted in support
and/or additional evidence is attached. are true and correct.
e. I am filing a motion to reconsider a decision. My 1.a. Signature
brief is attached.
f. I am filing a motion to reopen and a motion to
1.b. Family Name (Last Name)
reconsider a decision. My brief and/or additional
evidence is attached. TELINTELO
1.c. Given Name (First Name)
3. USCIS Form for Which You Are Filing an Appeal or
Motion to Reopen/Reconsider (e.g., I-140, I-360, I-129, LEO FRANCIS JR
I-485, I-601, etc.) I-290B
1.d. Date of Signature (mm/dd/yyyy) ►

NOTE: Make sure your appeal or motion is complete before filing.

Form I-290B 01/23/14 N Page 2 of 2

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